Exercise and Activities for Independent Living With Mild Cognitive Impairment (MCI)

NCT ID: NCT00446394

Last Updated: 2012-10-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

181 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-06-30

Study Completion Date

2012-10-31

Brief Summary

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The purpose of this project is to evaluate an exercise and health promotion program for older adults with mild memory loss. The study will investigate the efficacy of a memory-enhanced exercise and health promotion program to determine whether it is more effective than a social walking program in delaying further memory decline, improving mood and physical function, and enhancing quality of life.

Detailed Description

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This project is a randomized controlled trial to evaluate the efficacy of a group exercise and health promotion program designed specifically for older adults with Mild Cognitive Impairment (MCI). This study builds upon previous studies designed for cognitively intact older adults, with a supplemental study using a modified intervention for MCI participants, and for individuals with Alzheimer's disease.

Taken together, these prior investigations support the efficacy of behaviorally based exercise interventions in improving cognitive, physical, and affective status in cognitively intact and demented older adults. Results from a feasibility study suggest that these positive outcomes can also be obtained in older adults with MCI.

The current study will investigate the efficacy of the modified exercise program called RALLI (Resources and Activities for Life Long Independence) to determine whether it is more effective than the control condition, a social walking program (SW), in delaying cognitive decline, improving self-rated health and health behaviors, improving affect and physical function, and enhancing quality of life. The long-term efficacy of RALLI to delay conversion of MCI to dementia, reduce physical disability, maintain independent living, and improve physiological health indicators will also be investigated.

One hundred seventy participants over the age of 70 who meet American Academy of Neurology criteria for MCI will be recruited from independent living retirement residences. Participants will be randomly assigned to one of the two conditions (RALLI and SW) and assessed at baseline, post treatment (3 months), and follow up visits every 6 months for a total of 3 years (months 6, 12, 18, 24, 30, and 36). The hypothesis is that RALLI participants will experience better post-treatment outcomes than SW participants, and that gains will be maintained over 36 months.

Conditions

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Mild Cognitive Impairment Dementia

Keywords

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cognition disorder functional ability psychomotor function psychopathology quality of life

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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1

Group Type EXPERIMENTAL

Resources and Activities for Life Long Independence (RALLI)

Intervention Type BEHAVIORAL

Strengthening exercises, encouragement to walk daily, pedometer reading, health promotion information for 1.5 hours weekly for 9 weeks

2

Group Type ACTIVE_COMPARATOR

Social Walking program (SW)

Intervention Type BEHAVIORAL

Group support for walking, pedometer reading, 1 hour weekly for 9 weeks

Interventions

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Resources and Activities for Life Long Independence (RALLI)

Strengthening exercises, encouragement to walk daily, pedometer reading, health promotion information for 1.5 hours weekly for 9 weeks

Intervention Type BEHAVIORAL

Social Walking program (SW)

Group support for walking, pedometer reading, 1 hour weekly for 9 weeks

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Mild Cognitive Impairment defined as
* \- Memory complaint
* \- Objective memory impairment for age and education
* \- Largely intact general cognitive function
* \- Essentially preserved activities of daily living
* \- Not already diagnosed with dementia
* Insufficient physical activity defined as less than 150 minutes per week of moderate intensity physical activity
* Not currently in an exercise program similar to the study program

Exclusion Criteria

* Not ambulatory
* Expected to move from the study geographic area during the study period
* Have a known terminal illness
* Actively suicidal, hallucinating, or delusional
* Hospitalized for a psychiatric disorder in the 12 months before baseline
* Uncontrolled chronic conditions, e.g. uncontrolled hypertension, unstable angina, uncontrolled blood glucose
* Blind or deaf
Minimum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Washington

OTHER

Sponsor Role lead

Responsible Party

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Linda Teri

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Linda Teri, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Washington School of Nursing

Locations

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Northwest Research Group on Aging, Department of Psychosocial and Community Health, University of Washington School of Nursing

Seattle, Washington, United States

Site Status

Countries

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United States

Other Identifiers

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2R01AG014777

Identifier Type: NIH

Identifier Source: secondary_id

View Link

IA0100

Identifier Type: OTHER

Identifier Source: secondary_id

06-3067-C

Identifier Type: OTHER

Identifier Source: secondary_id

30692-J

Identifier Type: -

Identifier Source: org_study_id